| A Case of Perforated Acute Cholecystitis in CAPD Patient who Returned to CAPD after Laparoscopic Cholecystectomy |
| Jinsoo Min, M.D.1, SeNa Jang, M.D.1, Hyung Wook Kim, M.D.1 Shin Young Shin, M.D.1, Yong Sung Won, M.D.2 and Dong Chan Jin, M.D.1 |
| Department of Internal Medicine1 and Department of General Surgery2 St. Vincent Hospital, The Catholic University of Korea, Korea |
| 증례 : 천공성 급성 담낭염에 의한 복막염으로 복강경적 담낭절제 수술 후 다시 복막투석으로 복귀한 증례 1예 |
| 민진수1 , 장세나1 , 김형욱1 , 신영신1 , 원용성2 , 진동찬1 |
| 가톨릭대학교 의과대학 성빈센트병원 내과1 , 외과2 |
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| Abstract |
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We experienced a 59 year-old female diabetic CAPD patient with severe peritonitis due to perforated acute cholecystitis. Because of heart failure due to old myocardial infarction and cerebral infarction she had been treated with CAPD for 5 years in bed-ridden state. Initial presentation was dark brown colored peritoneal dialysate effluent (changed greenish bile color later) and septic shock. We diagnosed perforated acute cholecystitis by computerized tomography three days after improvement of sepsis. She was received laparoscopic cholecystectomy and continuous venovenous hemodiafiltration for two weeks and returned to peritoneal dialysis without complication. Secondary CAPD peritonitis with cholecystitis or bowel disease should be carefully considered in patients with specific dialysate color, which could be cured with laparoscopic surgery, and then patients can be returned to CAPD again without complication. |
| Key Words:
CAPD, Peritonitis, Laparoscopic cholecystectomy |
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